Tài liệu Phau thuat phaco nhap mon

A TS. NGUYEN HUfU QUOC NGUYEN GS. TS. TON THI KIM THANH Phau thuot Phoco nhop mon # TS. NGUYiN HQU QUOC NGUYEN GS. TS. TON THj KIM THANH PHAU THUAT PHACO NHAP MON ■ ■ NHA XUAT BAN Y HOC HA NOI - 2004 LOI NOI OAU Hien nay, ky thuat phaco da trd thanh pho bien trong phau thuat lay thuy tinh the due dat thuy tinh the nhan tao trong long bao. Tii cac bac si nhan khoa cho den ngiidi dan deu hieu dUdc tmh liu viet cua ky thuat phaco qua cac phiidng tien thong tin nhu td rdi, sach bao, va ttf van cua cac bac si nhan khoa cung nhii truyen mieng tvf ngifdi nay sang ngtfdi khac. V6i ky thuat difdng rach nho tvt 2,5 - 3 mm, khong can khau, it chay mau, thi lUc hoi phuc nhanh, thdi gian liiu lai benh vien ngan tvf 6 tieng den 12 tieng dong ho, ky thuat phaco da noi len dUdc sil vtfdt troi so v6i cac ky thuat khac trvfdc day. Toi viet cuon sach nay chi vdi muc dich la muon cung cap mot so" khai niem va kien thCfc cd ban cua phudng phap phaco den cac bac si nhan khoa m6i vao nghe de lam tU lieu tham khao sd dang ve cac tinh nang ly hoc, cac ky thuat mo, cac thao tac mo, cac cach s i dung thuoc, chat nhay va cac van de lien quan...Chac chan ban doc se Wdng ttfdng ra nhieu dieu m6i la hdn. Co nhufng cum tCf Anh ngii chi cac dung cu mo, ky thuat mo, cac chat heu,... se dufdc toi giut nguyen van tieng Anh (vi co dich cung khong het y dufdc tham chi' con lam toi nghia cau van tieng Viet). Chac chan quyen sach se khong tranh khoi nhiing sai sot. Toi xin chan thanh cam dn va don nhan tat ca nhufng ldi gop y cua ban doc. Moi chi tiet xin gxli ve theo dia chi: TS.Nguyln Hflu Quoc Nguyen - 60 TrUng Nuf VUdng Da Nang TAC GIA 3 nhutng tl / t ie n g a n h Ng u y e n oi/dc sCrd u n g ■ ■ van Phaco: Chu! viet tac cua Phacoemulsification: Su tan nhuyen thuy tinh the (TTT) Phacotip: dau tip phaco dung de dao ranh va tan nhan Handpiece tip: Tay cam dung de gan dau phacotip I/A tip: Dau rUa hut Cortex: L6p vo TTT ( hay goi la chat nhan) Vac (Vaccum): Luc hut ap luc am U/S tip: Dau tan nhan b&ng nang liidng sieu am (tUdng tU dau phacotip) U/S handpiece: Tay cam tan nhuyen b^ng sieu am (tUdng tU dau handpiecetip) Aspiration orifice: Lo mieng hut cua dau phacotip hoac dau I/A tip Phacoemulsifier: Bo phan tan nhuyen tan nhuyin TTT Handle: Dung cu cam tay Pedal: Ban dap dieu khi; n bang chan Sleeve: Boc nhUa dau phacotip Orifice: Lo hut dau tip. Hydroclavage: Tach nhan bang nU6c Hydrodissection: Thuy tach hay tach nhan b&ng nUdc. Tach phan thUdng nhan v6i 16p vo thuy tinh the Hydrodelineation: Tach giuta 16p nhan trong Ooi cting) vdi 16p nhan ngoai(16p thUdng nhan) Hydrodelamination: Tach 16p thUdng nhan vdi 16p nhan trong Hydrofracture: Tach phan nhan trong v6i nhan ngoai bang dau Hydrosonic: ket hdp bdm dich. 5 CCC: Continuous curvature capsulorhexis -Xe bao hinh tron lien tuc Rhexis: Lo xe bao Sideport: DUdng md tien phong ben phia 9 gid de dUa spatule hoac chopper vao tien phong. Spatule: dung cu mo co be mat trdn lang, bang phang Forceps: Kep dung de mo, xe bao... Asp (Aspiration): Hut Ampl (Amplitude): Bien do Thresh: NgUdng Burst: Pha nhan bang xung sieu am ngan Chopper: Dung cu che nhan TTT Cataract: Thuy tinh the - TTT IOL: Thuy tinh the nhan tao - TTTNT Optic: phan quang hoc cua TTTNT Phaco chop: Ky thuat che nhan TTT Chop and flip: Ky thuat che va bay nhan TTT Stop and chop: Ky thuat diing va che nhan TTT Crack and flip: Ky thuat be va bay nhan TTT Stop, chop, chop and stuff: Ky thuat dufng, che, che va an nhan TTT Step-by-step chop in situ: Ky thuat che nhan TTT tai cho theo tufng bu6c mot. Vaccum seal: Hut chat bang chan khong. Ky thuat dung dau phacotip vui chat trong manh nhan de co"dinh manh nhan Contact: num dieu khien Focus: Dieu'chmh tieu cU kinh hien vi p h lu thuat. Zoom: Phong to, thu nho phlu trUdng kinh hien vi phiu thuat Sculpting: Dao ranh Removal: Hut nhan va chat nhan ra khoi mat. 6 LjCH Sir PHACO 1. Ba thap ky phat trien Thang 04 nam 1997 la ll ky niem lan t h i 30 ngay “Phaco” ra ddi, phUdng phap phaco dUdc BS. Kelman mo ta dau tien tren Thdi bao Nhan khoa Hoa Ky so thang 4 nam 1967. Trong suot thdi gian do, phUdng phap phaco da co nhufng thay doi dang ke. Lich s i phat trien cua phUdng phap nay dUdc chia thanh 3 thap ky ro ret. 1.1 Thap ky thur nhat: (1967 - 1977) goi IA the he ‘Phaco tien ph o n g ” Dau tien, BS. Kelman mo ta ky thuat dUa nhan TTT len tien phong va dao ranh, tan nhan thuy tinh the (TTT) thanh t in g manh nho. The he phaco dau tien dUa tren nang lifdng la chinh. Hut cac manh nhan ra ddn gian vdi do sau tien phong on dinh. Dieu nay se dUdc nh^c d phan cd che bdm hut hoac cai dat che do hut. Bdi vi “cong viec cua phaco” la tan nhuyen nhan TTT nguyen khoi bang cach s i dung nang lu - Xem thêm -